NATIONAL AND STATE NURSING EXAM- MCQ _MG_00 253
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1. All of the following are Cluster – A personality disorder; EXCEPT:
a. Paranoid
b. Schizoid
c. Schizotypal
d. Histrionic
Answer: d. Histrionic
Description:Cluster A personality disorders are a group of mental health conditions characterized by odd or eccentric behavior. These disorders include paranoid, schizoid, and schizotypal personality disorders. Histrionic personality disorder, on the other hand, belongs to Cluster B personality disorders, which are characterized by dramatic, emotional, and erratic behavior.
2. Most effective treatment in borderline personality disorder is:
a. Pharmacotherapy
b. Behavior therapy
c. Combination of both pharmacotherapy and behavioral therapy
d. None
Answer: b. Behavior therapy
Description:The most effective treatment for borderline personality disorder (BPD) is often considered to be psychotherapy, particularly dialectical behavior therapy (DBT). DBT is a specialized form of cognitive-behavioral therapy (CBT) that focuses on helping individuals with BPD manage their intense emotions, improve interpersonal relationships, and develop healthier coping strategies. While pharmacotherapy (medications) may be used in some cases to target specific symptoms like depression or anxiety that often co-occur with BPD, it is generally not considered the primary treatment for BPD. Therefore, the correct answer is (b) Behavior therapy.
3. In schizoid personality disorder all are seen; EXCEPT:
a. Aloof and detached
b. Prone to fantasy
c. Suspicious
d. Introspective
Answer: c. Suspicious
Description:In schizoid personality disorder, the characteristics typically include being aloof and detached, prone to fantasy, and introspective. Suspicion is not a typical feature of schizoid personality disorder.
4. Lifelong theatricality of behavior is seen in:
a. Obsessive personality
b. Schizoid personality
c. Hysterical personalities
d. Avoidant personalities
Answer: c. Hysterical personalities
Description:Lifelong theatricality of behavior is typically seen in individuals with histrionic personality disorder, which is often referred to as "hysterical personality" in some contexts. Histrionic personality disorder is characterized by a pattern of attention-seeking, excessive emotionality, and a need to be the center of attention. So, the correct answer is (c) Histrionic personalities.
5. Which of the following is a Cluster C personality disorder?
a. Avoidant personality disorder
b. Histrionic personality disorder
c. Paranoid personality disorder
d. Narcissistic personality disorder
Answer: a. Avoidant personality disorder
Description:Avoidant personality disorder. Avoidant personality disorder is a Cluster C personality disorder, characterized by a pattern of social inhibition, feelings of inadequacy, and hypersensitivity to criticism or rejection. The other options, b. Histrionic personality disorder, c. Paranoid personality disorder, and d. Narcissistic personality disorder, belong to different clusters of personality disorders (Cluster B and Cluster A, respectively).
6. Anti-social personality disorder is characterized by:
a. Excessive sensitivity and suspiciousness
b. Emotional coldness, lack of pleasures.
c. Unconcern for feeling of others, disregard for social norms
d. Self-dramatization, exaggerated expression of emotions.
Answer: c. Unconcern for feeling of others, disregard for social norms
Description:Unconcern for the feelings of others and disregard for social norms. Anti-social personality disorder is characterized by a pattern of behavior that involves a lack of empathy or concern for others, a disregard for social norms and rules, and a tendency to engage in behaviors that violate the rights of others. This can include actions such as lying, manipulation, impulsivity, and a lack of remorse for one's actions.
7. All are cluster B disorders of personality; EXCEPT:
a. Antisocial
b. Narcissistic
c. Avoidant
d. Borderline
Answer: c. Avoidant
Description:Avoidant personality disorder is not a cluster B personality disorder; it is a cluster C personality disorder. Cluster B personality disorders include Antisocial, Narcissistic, and Borderline personality disorders. Cluster C personality disorders are characterized by anxious or fearful behavior and include Avoidant, Dependent, and Obsessive-Compulsive personality disorders.
8. Characteristic features of schizoid personality is:
a. Conversion reaction
b. Not concerned with disease
c. Checks details of all things
d. Emotional coldness
Answer: d. Emotional coldness
Description:The characteristic feature of schizoid personality disorder is (d) emotional coldness. Individuals with schizoid personality disorder tend to have limited emotional expression and appear detached and emotionally distant from others. They often prefer solitary activities and have little interest in forming close relationships. Options (a) Conversion reaction, (b) Not concerned with disease, and (c) Checks details of all things do not represent the primary features of schizoid personality disorder.
9. Antisocial personality is seen with:
a. Drug abuse
b. Paranoid schizophrenia
c. OCN
d. None
Answer: a. Drug abuse
Description:Antisocial personality disorder is often seen in individuals with a history of drug abuse or substance use. The correct answer is (a) Drug abuse. It's important to note that while there may be an association between antisocial personality disorder and drug abuse, not everyone with drug abuse has antisocial personality disorder, and not everyone with antisocial personality disorder abuses drugs. Additionally, options (b) Paranoid schizophrenia and (c) OCN (which is not a commonly used abbreviation in this context) are not typically associated with antisocial personality disorder.
10. Loss of personal identity and wandering away from psychiatric hospital is referred to as:
a. Fugue
b. Split personality
c. Possessions state
d. Trance state
Answer: a. Fugue
Description: Fugue states, formally known as dissociative fugue, involve a person unexpectedly and temporarily losing their sense of identity or personal history and may involve wandering or travel to a new location, often without awareness of their previous life. It's a type of dissociative disorder. Options (b) Split personality, (c) Possession state, and (d) Trance state do not accurately describe this phenomenon.
11. All of the following are the core features of personality disorder; EXCEPT:
a. Emotionally cold
b. Argumentative
c. Suspicious
d. Trustworthy
Answer: d. Trustworthy
Description:Trustworthiness is generally considered a positive trait and is not a core feature of personality disorders. Instead, personality disorders often involve traits or behaviors that disrupt interpersonal relationships and functioning.
12. Suspicious, sensitive, mistrustful, stubborn, and argumentative are the main features of which of the following personality disorder?
a. Paranoid personality disorder
b. Antisocial personality disorder
c. Schizotypal personality disorder
d. Histrionics personality disorder
Answer: a. Paranoid personality disorder
Description:The main features described, including suspiciousness, sensitivity, mistrustfulness, stubbornness, and argumentativeness, are characteristic of Paranoid Personality Disorder (a). This disorder is marked by a pervasive pattern of mistrust and suspicion of others' motives. Options (b) Antisocial Personality Disorder, (c) Schizotypal Personality Disorder, and (d) Histrionic Personality Disorder have different core features and are not primarily characterized by the traits mentioned in the question.
13. A nursing officer working in psychiatric unit is assessing a patient with histrionic personality disorder. The nursing officer might identify which of the following characteristics behavior?
a. Impulsive action and aggressiveness
b. Odd eccentric and magical thinking
c. Excessive emotionally and attention seeking behavior
d. Preoccupation with orderliness and cleanliness.
Answer: c. Excessive emotionally and attention seeking behavior
Description:The nursing officer assessing a patient with histrionic personality disorder might identify the characteristic behavior described in option (c): "Excessive emotional and attention-seeking behavior." Histrionic personality disorder is characterized by a pattern of seeking attention and being overly emotional, often in a dramatic or theatrical way. Individuals with this disorder may engage in attention-seeking behaviors to gain the approval and admiration of others. They may be emotionally expressive and have a strong desire to be the center of attention.
14. All of the following features are characteristic of an antisocial personality; EXCEPT:
a. Disagreed for other’s feelings and emotions
b. Impulsive and aggressive actions
c. Exaggerate achievement and talents
d. Low tolerance to Frustration
Answer: c. Exaggerate achievement and talents
Description:Antisocial personality disorder is typically characterized by behaviors such as a disregard for the rights of others, impulsivity, aggression, deceitfulness, and a lack of empathy or remorse. While individuals with antisocial personality disorder may manipulate or deceive others for personal gain, they do not necessarily exaggerate their own achievements and talents in the same way that some other personality disorders, like narcissistic personality disorder, might.
15. The following features are characteristics of antisocial personality; EXCEPT:
a. Pleasure seeking
b. Inability to work under supervision
c. Deep emotional relationship
d. Drug abuse and alcohol depended
Answer: c. Deep emotional relationship
Description:Individuals with antisocial personality disorder often have difficulty forming deep and meaningful emotional relationships. They may be manipulative, superficially charming, and have a pattern of exploiting others for personal gain. They tend to have a lack of empathy and remorse for their actions. This difficulty in forming deep emotional connections is one of the defining features of the disorder.
16. Unstable relationships, impulsive behavior, variable moods, lack of control on anger recurrent suicidal threats are the main clinical features of which type of personality disorder:
a. Narcissistic personality
b. Histrionic personality
c. Borderline personality
d. Schizoid personality
Answer: c. Borderline personality
Description:The main clinical features described, including unstable relationships, impulsive behavior, variable moods, lack of control over anger, and recurrent suicidal threats, are characteristic of Borderline Personality Disorder (c). Individuals with borderline personality disorder often struggle with intense and unstable interpersonal relationships, emotional instability, and impulsive actions. These features are central to the diagnosis of borderline personality disorder. Options (a) Narcissistic personality, (b) Histrionic personality, and (d) Schizoid personality have different core features and do not align with the characteristics described in the question.
17. Which of the following is not a characteristic of Endogenous depression?
a. Feeling of more sadness during morning
b. Having suicidal tendency
c. A better feeling when in solitude
d. Feeling of more sadness during evening
Answer: d. Feeling of more sadness during evening
Description:Endogenous depression is typically associated with a diurnal variation in mood, with individuals experiencing more intense depressive symptoms, including greater sadness, in the morning and feeling relatively better as the day progresses.
18. The most recent 5th edition of the diagnostic and statistical manual (DSM V) of Mental Disorder grouped personality disorder into cluster. Which of the following cluster is correctly matched with its characteristics?
a. Cluster A (anxious or fearful disorders)
b. Cluster B (dramatic, emotional or erratic disorders)
c. Cluster C (Odd, eccentric disorder)
d. Cluster D (Unpredictable cluster)
Answer: b. Cluster B (dramatic, emotional or erratic disorders)
Description:Cluster B personality disorders are characterized by dramatic, emotional, or erratic behavior. This cluster includes disorders such as borderline, narcissistic, antisocial, and histrionic personality disorders. Options (a) Cluster A (anxious or fearful disorders), (c) Cluster C (odd, eccentric disorders), and (d) Cluster D (unpredictable cluster) do not accurately describe the characteristics of the DSM-5 personality disorder clusters.
19. The ability of a person to readily recover from stressful situation is called:
a. Mental freedom
b. Androgyny
c. Hardiness
d. Resilience
Answer: d. Resilience
Description:Resilience refers to an individual's capacity to bounce back, adapt, and recover effectively from adversity or challenging situations.
20. 'Omega sign’ is seen in which of the following:
a. Anxious patient
b. Depressed patient
c. Deluded patient
d. Negativistic patient
Answer: b. Depressed patient
Description:The term "Omega sign" is often used in the context of neurology and refers to a specific pattern of abnormal brain activity or EEG (electroencephalogram) findings. It is not associated with psychological or psychiatric conditions such as anxiety, depression, delusions, or negativism. Therefore, none of the options (a) Anxious patient, (c) Deluded patient, or (d) Negativistic patient are correct. The "Omega sign" is not related to any of these psychiatric states.
21. Behavioral clues of impending suicide are as follows; EXCEPT:
a. Give away valuable possessions
b. Becomes energetic after a period of severe depression
c. Withdraw from social activities and plans
d. Hypervigilance and exaggerated startle response.
Answer: d. Hypervigilance and exaggerated startle response.
Description:Hypervigilance and exaggerated startle responses are more characteristic of certain anxiety or trauma-related disorders rather than direct behavioral clues of impending suicide. The other options (a, b, and c) are potential signs that someone might be at risk for suicide, such as giving away valuable possessions, experiencing mood shifts, and withdrawing from social activities.
22. The most significant characteristics experienced by a patient with depression is:
a. Aggressive, abusive or violent behavior
b. Hypervigilance and nightmares
c. Lack of impulse control
d. Depressed mood and loss of pleasure of interest
Answer: d. Depressed mood and loss of pleasure of interest
Description:Depression is primarily characterized by persistent feelings of sadness, hopelessness, and a loss of interest or pleasure in previously enjoyed activities. Options (a) Aggressive, abusive, or violent behavior, (b) Hypervigilance and nightmares, and (c) Lack of impulse control are not typically considered the most significant characteristics of depression, but they may be associated with other mental health conditions or disorders.
23. Which of the following is exhibited by a mother with postpartum depression?
a. Hallucinations
b. Delusions
c. Uncontrolled crying.
d. Confusion
Answer: c. Uncontrolled crying.
Description:Mothers with postpartum depression often experience intense and prolonged periods of sadness, tearfulness, and emotional distress, leading to uncontrolled crying. While hallucinations, delusions, and confusion can be symptoms of severe mental health conditions, they are not typically associated with postpartum depression. It's important to note that postpartum depression can vary in severity, and not all individuals will experience the same symptoms.
24. A clinical features of patient with major depression includes: a. Psychomotor agitation b. Insomnia c. Feeling of worthlessness d. Increased libido
a. a, b, c
b. b, c, d
c. a, b, d
d. a, c, d
Answer: a. a, b, c
Description:These are common symptoms associated with major depression. Option (d) a, c, d includes psychomotor agitation and feeling of worthlessness, but it incorrectly includes "increased libido," which is not a typical feature of major depression. Option (b) b, c, d includes insomnia and feeling of worthlessness, but it omits the important symptom of psychomotor agitation, which is often observed in major depression.
25. The most significant causative factor of depression is:
a. Family environment
b. Chemical imbalance
c. Social environment
d. Hereditary
Answer: b. Chemical imbalance
Description:Depression is believed to be associated with changes in neurotransmitter levels and activity in the brain, leading to alterations in mood and emotions. While family environment, social environment, hereditary factors, and life events can all play a role in the development of depression, the concept of a chemical imbalance in the brain is a commonly discussed factor in the understanding of depression. It's important to note that depression is a complex condition, and its causes can vary from person to person.
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